| NPI | 1396393591 |
|---|---|
| Entity Type | Individual |
| Gender | Female |
| Sole Proprietor ? | No |
| Primary Taxonomy | 225100000X Physical Therapist (Licence: FL PT37082) |
| Additional Taxonomies | 225100000X Physical Therapist (Licence: NY 044772) |
| Enumeration Date | 2019-08-30 |
| Last Update Date | 2024-06-26 |